Momeni A, Stark G B
Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Palo Alto, CA 94304-5714, USA.
Handchir Mikrochir Plast Chir. 2010 Dec;42(6):374-8. doi: 10.1055/s-0030-1263129. Epub 2010 Sep 2.
The increasing importance of evidence-based medicine (EBM) is the result of an increasing demand for a rational decision-making process in healthcare. It has been demonstrated that 15-40% of decisions made in healthcare do not have a solid scientific basis. This is particularly problematic in times of limited financial resources, when reimbursement increasingly depends on how "evidence-based" a particular treatment is. Application of EBM principles in plastic surgery is therefore no longer an option. This, however, requires a basic understanding of the existing levels of evidence. In the present article, principles of EBM will be presented. The importance of randomized controlled trials and systematic reviews for plastic surgery will be highlighted along with a discussion of the quality of the plastic surgical literature based on results of recent systematic analyses. The plastic surgical community has appreciated the need for higher quality clinical studies. Improvement of the quality of reporting is, however, critical.
循证医学（EBM）日益重要，这是医疗保健领域对合理决策过程的需求不断增加的结果。事实证明，医疗保健中15%至40%的决策缺乏坚实的科学依据。在财政资源有限的时期，这一问题尤为突出，此时报销越来越取决于特定治疗方法的“循证”程度。因此，在整形外科中应用循证医学原则已不再是一种选择。然而，这需要对现有的证据水平有基本的了解。在本文中，将介绍循证医学的原则。将强调随机对照试验和系统评价对整形外科的重要性，并根据近期系统分析的结果讨论整形外科文献的质量。整形外科界已经认识到高质量临床研究的必要性。然而，提高报告质量至关重要。
